Avsnitt
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In this episode, Lalita and Kelly speak with Col. Brian Cahill, Chief of Soldier Primary Care and soon-to-be Chief Nursing Officer at Carl R. Darnall Army Medical Center in Fort Cavazos, Texas.
As a colonel in the army with a 20-year career in clinical and administrative leadership roles, Brian discusses his journey from bedside nursing to completing a Masters degree in Clinical Informatics at Duke University to implementing MHS Genesis as CMIO at the Army Medical Center. He delves into the challenge of integrating new technologies in healthcare settings, the importance of a strong clinical background, and the role of team-based approaches in reducing risks and improving care. Additionally, Brian touches on some noteworthy help desk tickets, showcasing real-world issues and solutions.
Join the conversation to learn how innovative approaches in technology are shaping the future of primary care, emphasizing patient safety and effective healthcare delivery. -
Kelly and Lalita share their own backgrounds and how they got interested technology innovation. They also share the origin story of the podcast!
Other hot takes on this week's episode include:
- Do we actually want to work at the top of our license?
- Sometimes fun solutions are better than efficient ones
- Big picture thinking to change systems and identifying stakeholders -
Saknas det avsnitt?
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In this week's episode, Lalita and Kelly speak with Dr. Sara Pastoor, a DPC family physician at People-Centered Health and the Head of Primary Care Advancement at Elation Health. Sara shares her origin story of her instrumental role in shifting the military from AHLTA (the armed services EHR) to safer interfaces, all the way to Elation Health which emphasizes the importance of co-development between family physicians and design/engineering teams.
She also shares some incredible leadership advice including:
- learning how to flex the muscle of "no"
- having strong clinical skills to have an influential seat at the table
- and how to engage with stakeholders who may not be on the same page as family medicine -
Jordan Chanler-Berat, MD is an Emergency Medicine physician and the founder/CEO of POCUS Preceptor, a company that supports clinical learners to learn point-of-care ultrasound later in their careers. In addition to practicing at Baystate Health, Berkshire Health Systems, and Holyoke Medical Center and teaching at ultrasound at UMass Chan Medical School, Dr. Chanler-Berat spends time as a clinical advisor for Circucare, a novel wearable cardiac ultrasound biotechnology company. In this episode, Jordan, Kelly and Lalita talk about all things POCUS: including how to get training, use cases in primary care, the value of using the tools, an artificial intelligence augmented future for imaging, and how POCUS can democratize medicine.
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Dr. Sarah Nosal, MD is the president-elect of the American Academy of Family Physicians and a practicing family physician in the Bronx. In this episode, Sarah shares her journey with Lalita and Kelly from her days programming a turtle in kindergarten to becoming the Vice President for Innovation & Optimization and Chief Medical Information Officer at The Institute for Family Health, a federally qualified health center in New York. Lalita, Kelly and Sarah talk about the importance of asking for what you want, designing "user error" to still be the correct outcome, and the importance of having excellent clinical skills to have credibility in making non-clinical decisions.
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Travis Bias, DO, MPH, FAAFP, is a Family Medicine physician and Deputy Chief Medical Officer of Health Information Systems at Solventum, the healthcare business spin-off of 3M. Travis has had a varied career, including full time clinical medicine, peace corps work as a medical educator, and multiple roles within 3M. Kelly, Lalita and Travis talk about his experiences being the only family physician in a corporate setting, what the day to day entails, and how family physicians are perfectly situated for inter/multidisciplinary work in these environments.
Other topics covered include:
- balancing family life, a non-clinical corporate job, and maintaining a connection to clinical medicine
- AI charting: challenges and successes
- getting board certified in informatics in 2025 (if you want to)
And more! -
We're back for 2025! In this episode, Lalita and Kelly speak with Elliott Wortham, a design and strategy consultant and the Director of Cove Studio in San Francisco, CA. Elliott helps us understand design principles for the family physician and how a fresh perspective is imperative to problem solving. Ultimately, each one of us can consider the unconsidered in our clinical environments to make it a better experience all around.
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Thank you to all of our listeners for tuning in each week! In this episode, Kelly and Lalita reflect on an incredible year of doing 28 podcast episodes, and how these conversations have changed their perspective on technology in primary care, while impacting how they practice medicine on the ground. Kelly and Lalita highlight some of their favorite podcast moments and set intentions for the new year.
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In the second to last episode of the season, Kelly and Lalita have a wonderful conversation with family physician, entrepreneur, and CEO of AskMeYourMD, Dr. Patricia Kelly Marsh. In this episode, Patricia shares with us how she is breaking the mold when it comes to telemedicine and payment models, and how the thing driving her through thick and thin is strong sense of confidence, faith, and believing in yourself at all costs. An inspiring and truly entertaining episode!
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Dr. Robert Oh's career has spanned military service, residency education, and he now serves as the Chief Wellness Officer for the Veterans Affairs Health Care System in Palo Alto. An enthusiast for cutting edge medical innovations, Rob has used continuous glucose monitors since 2019 and advocates for their use in family medicine practices. In this episode, Kelly, Lalita and Rob discuss medical research, the challenges of applying statistics-based evidence based medicine to individual patients, and that the future of primary care will be patient-led.
** Opinions expressed are solely those of our own and do not express the views or opinions of our current or former employers, including the Department of Defense, Defense Health Agency, or Department of Veteran's Affairs.** -
Dr. Katherine Davis is a family physician and educator with a background in health informatics. Dr. Davis was instrumental as residency faculty at Summa Health in Akron, Ohio and most recently took that experience to apply her expertise at scale at MDCalc. Kelly and Lalita chat with Katie about her experiences and how important it is for family medicine physicians to have a seat at the table in health technology.
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Kelly and Lalita talk to Shawn Martin, CEO of the AAFP on a new collaboration with Rock Health, a digital health investment and consulting group. They talk about the intention and the vision behind the collaboration and about how family physicians can get a seat at the table. They also discuss how this collaboration can help family physicians better understand our current technological environment, support family medicine education, improve operational and clinical workflows, and help disruptors build better digital health tools for our diverse and unique family medicine practices. Be sure to fill out the AAFP x Rock Health survey at www.aafp.org/ai to help support this initiative!
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In this episode, Kelly and Lalita chat with a good friend of the podcast, Dr. Kalie Dove-Maguire. Kalie is an Emergency Medicine physician who is now the Chief Product Officer at Evidently, an AI-enabled chart review tool. Previously, Kalie was the Senior Director of Product at Carbon Health, where she oversaw the EHR and the rollout of AI-enabled ambient documentation.
Kalie, Lalita, and Kelly chat about career journeys, innovations in the future of health tech, and ground their conversations in the practical data and human connection. -
In this episode Kelly interviews Lalita on her experience attending the Rock Health Summit in San Francisco, California. The Rock Health Summit "is a digital health conference that brings together diverse minds from technology, medicine, public health, and beyond for a day of inspired conversation and connection." Lalita shares the overall gist and gets into the specifics of some of the themes and products that she saw during the event.
If you're interested in reviewing all of the speakers, you can check out the 2024 speakers here: https://www.rockhealthsummit.com/speakers2024 -
Kelly and Lalita welcome their very first guest! Matt Sakumoto is the Regional Chief Medical Informatics Officer at Sutter West Bay Medical Group in San Francisco, and health tech start-up consultant. He is a graduate of the UCSF Health Informatics Fellowship and an Internal Medicine Physician at a Virtual First Medical Practice at Sutter. In this episode Kelly, Lalita and Matt talk about using personas in clinical technology education, AI scribing, and Matt shares a Help Desk Ticket of the Week!
Episodes on tips and tricks to advocate for yourself to designers and leaders:
User Centered Design: https://technology-empowered-clinical-optimization-podcast.simplecast.com/episodes/user-centered-design-and-feedback-y-mg5qth2.How can I get involved in advocating for appropriate use of technology in medicine?: https://technology-empowered-clinical-optimization-podcast.simplecast.com/episodes/how-can-i-get-involved-in-advocating-for-appropriate-use-of-technology-in-medicine
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Assistant Secretary for Technology Policy. HTI-2 Proposed Rule Patient, Payer, Provider API Information Session https://www.youtube.com/watch?v=hn3Bn3_9l9M
Public Comment for ONC rule: https://www.federalregister.gov/documents/2024/08/05/2024-14975/health-data-technology-and-interoperability-patient-engagement-information-sharing-and-public-health
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In this episode, Kelly shares her experience and takeaways from Epic's UGM! We discuss Epic's influence on the software space including:
- Generative and Predictive AI
- Whether we should start tackling downtime issues
- Cybersecurity
- Epic's international, interconnected influence
- Change Management
- Keeping up with change
...and more! -
Alternate Title: Slime Mold Maps and Taco Seasoning
In this excellent episode, Kelly and Lalita dive back into the discussion on Health IT legislation, this time starting with HITECH (Health Information Technology for Economic and Clinical Health Act) and moving through the 21st Century Cures Act. We discuss the role of Health IT regulation in developing the current landscape, and where we hope things go as we build out some of the aspirational goals of the Cures Act. Also, how do we swing the pendulum back towards the small practice? -
References:
Institute of Medicine. Computer-Based Patient Record: An Essential Technology of Health Care. 1991. https://nap.nationalacademies.org/catalog/18459/computer-based-patient-record-an-essential-technology-for-health-care
Ambinder, EP. A History of the Shift Toward Full Computerization of Medicine. J Oncol Prac. 2005 Jul; 1(2): 54–56. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2793587/
George W Bush White House Archives. President Bush Strengthened America's Health Care System. https://georgewbush-whitehouse.archives.gov/infocus/bushrecord/factsheets/healthcare.html
Mennemeyer ST, Menachemi N, Rahurkar S, Ford EW. Impact of the HITECH Act on physicians’ adoption of electronic health records. J Am Med Inform Assoc., Volume 23, Issue 2, March 2016, Pages 375–379, https://doi.org/10.1093/jamia/ocv103
Simborg, DW. Promoting Electronic Health Record Adoption. Is It the Correct Focus? J Am Med Inform Assoc. 2008 Mar-Apr; 15(2): 127–129. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2274790/
- Visa fler
